经常性流产 绿色顶部指南第1号 17 17 17 17 17 这是一个很大的问题
概括
经常性流产的评估包括检测获得的血栓友爱和子宫异常. 对于某些疾病,建议提供生活方式建议以及阿司匹林和肝素等特定治疗方法,而对其他疾病则不建议进行常规查.
科学领域:
- 生殖医学 生殖医学
- 遗传学 是一个遗传学.
- 免疫学 免疫学 免疫学
背景情况:
- 经常性流产 (RM) 影响了大量女性,影响了生殖结果.
- 目前的指导方针建议对经历重复流产的妇女进行特定的评估和干预.
研究的目的:
- 为评估和管理反复流产提供基于证据的建议.
- 为了澄清哪些诊断测试和治疗是适合妇女的重复性流产.
主要方法:
- 对现有文献和专家共识进行系统审查.
- 根据证据质量对建议进行分级 (分级A-D,GPP).
主要成果:
- 建议在怀孕前对获得的血栓形成症 (狼抗凝剂,抗心素抗体) 进行检测.
- 在特定情况下,建议对怀孕组织的细胞遗传分析和父母的肌型定型.
- 建议对先天性子宫异常和甲状腺功能障碍进行评估.
- 建议改变生活方式,包括BMI,戒烟,减少酒精/咖啡因摄入量.
- 对于抗脂综合征,建议使用阿司匹林和肝素治疗,但对于不明原因的RM,不建议使用阿司匹林和肝素治疗.
- 在怀孕早期出血时,可以考虑补充孕激素.
结论:
- 对反复流产评估的有针对性的方法至关重要.
- 特定的测试和治疗改善了对某些RM原因的结果.
- 强调避免常规的,非基于证据的查.
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